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ICD-10: Updated User & Companion Guides

July 25, 2014

The following user and companion guides will be updated to reflect changes made in the claims processing system in preparation for ICD-10.

The table below lists user and companion guides with updates to electronic billing guidelines and submission. An estimated posting date is projected for each guide.

Guide Name Estimated Posting Date
National Council for Prescription Drug Programs (NCPDP) D.0 Point of Service (POS) Testing Process Mid-September 2014
Internet Professional Claim Submission (IPCS) User Guide Mid-September 2014
Computer Media Claims (CMC) Billing and Technical Manual
  • Pharmacy Billing – Request (Section 1.2.5)
  • CMC Error Codes and Messages
Mid-September 2014

The following user and companion guides are not expected to require updates as a result of system changes in preparation for ICD-10.

Guide Name Estimated Posting Date
Medi-Cal 5010 Companion Guide No update required for ICD-10
NCPDP Payer Sheet Version D.0 No update required for ICD-10
Supplemental Claims Payment Information (SCPI) User Guide No update required for ICD-10
AEVS User Guide No update required for ICD-10
Point of Service (POS) Device User Guides No update required for ICD-10

Although the federal government has postponed the implementation of ICD-10 codes in all billing activities pursuant to the Protecting Access to Medicare Act of 2014, House Resolution 4302, Section 212, Delay in Transition from ICD-9 to ICD-10 Code Sets, the Department of Health Care Services will continue to prepare for the upcoming changes.

In an effort to prepare for changes, Medi-Cal will be updating user guides, manuals, and companion guides to reflect continuing changes to technical systems in preparation for the ICD-10 implementation. The monthly Medi-Cal Update bulletins will alert providers to upcoming ICD-10 information, changes in the claims processing system, and the release of provider manuals, user and companion guides.